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<table border="0" class="report_table" width="970" cellpadding="0" cellspacing="0" bordercolor="#000000">
  <tr>
    <td width="30" rowspan="2" class="data" ><div align="center"><strong>STT</strong></div></td>
    <td width="113" rowspan="2" class="data"><div align="center"><strong>T&#234;n h&#7897; kinh doanh</strong></div></td>
    <td width="42" rowspan="2" class="data"><div align="center"><strong>S&#7889; GCN &#272;KKD </strong></div></td>
    <td width="65" rowspan="2" class="data"><div align="center"><strong>Ng&agrave;y C&#7845;p </strong></div></td>
    <td width="67" rowspan="2" class="data" ><div align="center"><strong>V&#7889;n &#272;&#259;ng K&yacute; </strong></div></td>
    <td width="70" rowspan="2" class="data" ><strong> M&atilde; Ng&agrave;nh ngh&#7873; &#272;KKD</strong></td>
    <td width="187" rowspan="2" class="data" ><div align="center"><strong>&#272;&#7883;a Ch&#7881; tr&#7909; s&#7903; Ch&iacute;nh</strong> </div></td>
    <td colspan="4" class="data"><div align="center"><strong>Ch&#7911; h&#7897; kinh Doanh </strong><strong></strong></div></td>
	<td width="70" rowspan="2" class="data" ><strong>Ghi Ch&uacute;</strong></td>
  </tr>
  <tr>
    <td width="35" class="data"><div align="center"><strong>H&#7885; v&agrave; t&ecirc;n </strong></div></td>
    <td width="78" class="data" ><div align="center"><strong>Ng&agrave;y th&aacute;ng n&#259;m sinh </strong></div></td>
    <td width="60" class="data" ><strong>S&#7889; CMND/Ch&#7913;ng th&#7921;c c&aacute; nh&acirc;n </strong></td>
    <td width="127" class="data" ><div align="center"><strong>C&#417; quan c&#7845;p, ng&agrave;y c&#7845;p </strong></div></td>

  </tr>
  <tr align="center">
    <td class="data">(1)</td>
    <td class="data">(2)</td>
    <td class="data">(3)</td>
    <td class="data">(4)</td>
    <td class="data">(5)</td>
    <td class="data">(6)</td>
    <td class="data">(7)</td>
    <td class="data">(8)</td>
    <td class="data">(9)</td>
    <td class="data">(10)</td>
    <td class="data">(11)</td>
    <td width="36" class="data">(12)</td>
  </tr>
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